Individual
ANTHONY T TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 HWY 614, HURLEY, MS 39555
(228) 588-2938
(228) 588-9399
Mailing address
PO BOX 850, HURLEY, MS 39555-0850
(228) 588-2938
(228) 588-9399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R205397-4
MN
Other
Enumeration date
01/23/2012
Last updated
04/12/2020
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